Burnout, resilience and moral injury: How the wicked problems of health care defy solutions, yet require innovative strategies in the modern era

Burnout, resilience and moral injury: How the wicked problems of health care defy solutions, yet require innovative strategies in the modern era

Can J Surg 2019;62(4):E6-E8 | PDF

Duncan Rozario, MD

Summary

Physician burnout is an increasingly concerning issue that affects patient care, costs and the sustainability of our health care system. Burnout is not solely related to personal resilience; it is important to recognize the major role of the institution of health care in creating this wicked problem. Only this way can we fully understand the shared responsibility required to develop local strategies to tilt the fulcrum in our favour.


Accepted May 21, 2019

Acknowledgements: The author thanks Ms. Louisa Nedkov, coordinator of staff wellness at the Oakville Trafalgar Memorial Hospital. She has patiently taught surgeons the value and virtue of selfcare and how it is not as selfish as they may believe.

Affiliation: From the Oakville Trafalgar Memorial Hospital, Oakville, Ont.

Competing interests: None declared.

DOI: 10.1503/cjs.002819

Correspondence to: D. Rozario, Oakville Trafalgar Memorial Hospital, North Oakville Medical Centre, 216-3075 Hospital Gate, Oakville ON L6M 1M1, drozario@haltonhealthcare.com